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philavax@phila.gov

215-685-6784

215-238-6944


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Fill out both forms, then either email or fax them to us at the contact above.

Clinic registration form
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Request or update record
Patient update request

Looking for something else?

PhilaVax program info
Flat file reporting guide
More PhilaVax resources

Adolescent Immunization Action Week is Here!

Adolescent Immunization Action Week is Here!

Adolescent Immunization Action Week is Here!

April 3 to April 7, 2023

Vaccination helps prevent adolescents and young adults from getting sick and missing out on activities that are important to them. Help keep adolescents up to date on their immunizations against potentially life-threatening diseases like meningitis, tetanus, diphtheria, whooping cough, HPV-related cancers, COVID-19, and flu.